- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,659.59 / $7,244.36 / $8,709.64
| Facility | | $1,659.59 | $7,244.36 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,691.53 / $3,801.89 / $6,606.93
| Facility | | $2,691.53 | $3,801.89 | $6,606.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $3,890.45 / $6,918.31
| Facility | | $1,174.90 | $3,890.45 | $6,918.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.23 / $93,325.43 / $93,325.43
| Facility | | $56.23 | $93,325.43 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $9,332.54 / $9,332.54 / $9,332.54
| Facility | AS | $9,332.54 | $9,332.54 | $9,332.54 |